Maria Alexandra Capecchi Rodriguez

Individual provider Active NPI Family Nurse Practitioner · Temple Terrace, FL

NPI 1104417658 · NPPES record last updated Mar 8, 2023

Key facts

NPI
1104417658
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN9494593 (FL)
Practice address
8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700
Phone
(813) 796-5400
Fax
(813) 776-0079
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Senior Medical Center of Florida, LLC (56 clinicians)

Practice addresses (Care Compare)

3128 E Hillsborough Ave
Chen Central FL Holdings
Tampa, FL 33610-4528
Phone (813) 579-1769

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210315001276 FL Practitioner - Nurse Practitioner 2466868575 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9494593FLMDFamily Nurse Practitioner

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current
since Nov 1, 2022
Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767

8727 Temple Terrace Hwy
Temple Terrace, FL 33637
Phone (813) 796-5400

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9494593 FL Yes

Addresses

Primary practice location

8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700

Mailing address

8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700
Phone (813) 796-5400

Other names

  • Maria Alexandra Capecchi Other name

Other providers in Temple Terrace, FL

All providers in Temple Terrace, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.